Organization
VERMONT OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY CHANDLER BIRAJICLIAN OPTICIAN (PRESIDENT)
(802) 774-5124
Entity
Organization
Contact information
Practice address
69 ALLEN ST, SUITE 15, RUTLAND, VT 05701-4564
(802) 774-5124
(802) 774-5129
Mailing address
69 ALLEN ST, SUITE 15, RUTLAND, VT 05701-4564
(802) 774-5124
(802) 774-5129
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
028-0000350
VT
Other
Enumeration date
07/18/2007
Last updated
01/02/2013
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